Role OverviewThe Member Service Representative II will serve as a primary point of contact for members, providers, brokers, and plan partners via phone, email, chat, and fax, answering questions regarding health plan benefits, coverage, claims, policies, and procedures.
What You Will Do
The Member Service Representative II will research and resolve complex member issues, assist with claims-related billing questions, accurately document member interactions, and support and mentor fellow Member Service Representatives.
Why It Might Be a Fit
The ideal candidate will have strong communication skills, a customer-first mindset, and previous experience in healthcare, health insurance, or an HMO environment, with a temp-to-hire opportunity and hybrid work eligibility after training/qualification period.
Requirements
- Minimum 2 years of recent call center experience required
- Previous experience in healthcare, health insurance, managed care, or HMO environments strongly preferred
- Strong customer service and problem-solving skills
- Excellent verbal and written communication abilities
- Ability to navigate multiple systems while handling member inquiries
- Comfortable working in a high-volume, fast-paced environment
- Strong attention to detail and documentation accuracy
- Ability to maintain confidentiality and professionalism when handling sensitive information
Benefits
- Competitive pay: $22.00-$25.00/hour
- Hybrid work eligibility after training/qualification period
- Temp-to-hire opportunity with long-term career potential
- Opportunity to join a respected healthcare organization serving the Sacramento community
- Collaborative team environment with growth opportunities
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